Western Cape presents its vaccination strategy against Covid-19


The Western Cape government says it plans to pursue its own vaccination strategy which will take effect in three stages.

“We have appointed an advisory committee on vaccines, made up of experts who will advise us on issues such as science and ethics throughout the process,” he said.

The three phases of the strategy are:

  • Health care workers: The provincial government has estimated that there are approximately 100,000 health care workers in the public and private sectors. This number will also include community health workers, health care workers, and health science students.
  • Essential workers: Those who live in collective establishments (such as nursing homes), those over 60 and those over 18 with co-morbidities.
  • General population: This will include anyone over the age of 18. The vaccine has not been tested for the safety of pregnant women and children and will not be given to these groups.

The provincial government says it has designed a process that will be followed for vaccine deployment, in all three phases.

“First, the establishments offering vaccination, as well as the people who carry out the vaccination, will be pre-registered and accredited.

“The next step is to create an immunization register that will look like a voters list and list those who need to be vaccinated. In this regard, we have started consultations with the IEC to share information on the systems they use. “

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Those on the registry will be given an appointment time and date, where they will sign a consent form, receive their first dose, and an appointment date for their second dose. They will also receive proof of vaccination.

On the appropriate date, the person will receive their second dose. “We will also set up data systems to track progress in immunization deployment and coverage at the individual and community level.

“The National Department of Health has proposed a computer application system for this process, but if there is any delay with this system, the Western Cape government will put in place its own system and mitigation processes to avoid any delays. . “

Plan B?

In a briefing to the parliament’s health portfolio committee, the Western Cape Province’s health department, MEC Nomafrench Mbombo, said the province would also be looking at what can be done to secure additional doses of Covid vaccines. .

Although no explicit plan was mentioned, Mbombo said the prime minister was engaging with suppliers.

“The Prime Minister, in his capacity as the Provincial Command Council (Chief) of Covid, has engaged with suppliers and various other stakeholders regarding the issue of vaccines,” she said.

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“This is crucial because there may be a time when there might be an additional need to increase capacity (for vaccines) beyond what the national government has provided.”

She added that the provincial government has made it a point in the past to have a plan B with medical interventions, with things like tuberculosis and HIV drugs.


The Western Cape government has said it has also introduced a number of systems and interventions to ensure an adequate supply of oxygen to hospitals in the province to cope with a high number of hospitalizations in the height of the crisis. resurgence.

Over the past week, the combined oxygen usage for public and private hospitals in the province has been around 73 tonnes per day, the province said.

“This is still above the total production of 70 tonnes for the Afrox plant in the Western Cape.

“We did, however, work closely with the supplier and secure additional out-of-province supply. The Western Cape now has five bulk oxygen tankers dedicated to the daily delivery of oxygen supplies to individual hospitals. “

The Western Cape provincial government said it uses a specially designed internal dashboard to carefully monitor oxygen usage.

This dashboard is updated daily with the latest information so that the Ministry of Health and individual facilities can monitor their oxygen consumption.

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“It provides detailed information, including usage history and available bulk storage space across the system and at the facility level.

“This allows us to have a big picture of the system to monitor oxygen consumption across the province, which allows us to identify and address any pressure point early on.

The system also allows facility managers to simulate patient counts based on facility specifications, allowing them to determine how changes in patient profile would impact oxygen supply.

For facilities that do not have a bulk oxygen supply, the dashboard allows them to estimate the number and size of oxygen cylinders they would need to order for specific treatment. It also includes a reporting tool to determine the daily pressure points in the system with respect to on-time delivery of cylinders.

Oxygen data is also linked to bed and staff tracking systems.

“These three elements are essential to enable us to provide appropriate health care to all who need it, and these tools give us a complete picture of the capacity of our health system at any given time.

“Our hospitals continue to be under extreme pressure and we call on residents to remain vigilant in implementing preventive measures in their daily lives.

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